SyreniRing Contraceptive Ring

Buy SyreniRing

SyreniRing is a vaginal contraceptive used to prevent pregnancy. 

Like other hormonal contraceptives, it will not protect you against sexually transmitted diseases (STDs). To prevent STDs and also pregnancy, you should use a barrier method of contraception, such as a condom.

How SyreniRing works

SyreniRing contains a small amount of the female sex hormones etonogestrel and ethinylestradiol. The ring slowly releases these hormones into the bloodstream, preventing the release of an egg cell from the ovaries.

It works the same way as a combined contraceptive pill; however, instead of taking a pill daily, the ring is used for 3 weeks at a time.

Directions

Always use SyreniRing exactly as described in the patient information leaflet or as your doctor / Chemist4U pharmacist has told you. 

You can insert and remove SyreniRing yourself.

Before inserting the ring, check that it is still in date. You must wash your hands before inserting or removing the ring. Choose a comfortable position and remove the ring from its sachet.

Hold the ring between your thumb and index finger, press the opposite sides together and insert the ring inside your vagina. You should not be able to feel the ring when it is in place. If you feel uncomfortable, push the ring slightly further inside your vagina. The position of the ring is not important.

After 3 weeks, you should remove the ring from the vagina. Hook your index finger under the front rim of the ring and pull it out. 

This product may pose a risk to the environment. You can dispose of it with your regular household waste or return it to the pharmacy for disposal. However, it must be placed in the sachet and closed properly. Do not flush SyreniRing down the toilet. Do not throw away any unused or out-of-date rings via household waste. You must ask your pharmacist how to dispose of unused rings or rings no longer required. Taking these measures will help to protect the environment.

Do not replace the ring for a week after it is removed. Once the ring is removed, you can expect to experience bleeding. After 1 week, you can insert a new ring, even if you are still bleeding.

If you forget to insert a new ring after a week, please refer to the patient information leaflet for advice. You must also refer to the patient information leaflet if the ring is expelled from the vagina or if it breaks.

When you can start using SyreniRing

If you have not used hormonal contraception in the last month

Insert the ring on the first day of your period; you will be protected immediately. You can also start using the ring on days 2-5 of your period; however, additional barrier contraception (condom) must be used for the first 7 days.

You have used a combined pill during the last month

You should start using SyreniRing the day after the tablet-free period of your current pill. If your pill contains inactive tablets, you can start using the ring the day after you have completed your inactive tablets.

You have used a transdermal patch in the last month

Start using SyreniRing the day after your patch-free break. If you have used the patch consistently and correctly, you can stop using the patch any day and start using the ring.

You have used a progestogen-only pill (POP) during the last month 

You can stop taking the POP any day and start using SyreniRing. You should insert it at the same time you would usually take your pill. You must also use barrier contraception (condom) for the first 7 days.

You have used an injectable or implant or a progestogen-releasing intrauterine device (IUD) during the last month

You can start using SyreniRing when your next injection is due or on the day that your implant or IUD is removed. You must also use a barrier method of contraception (condom) for the first 7 days.

After having a baby

If you have just given birth, your doctor might tell you to wait until your first period before you start using SyreniRing. If you are breastfeeding, you must inform your doctor.

After a miscarriage or abortion

Your doctor will advise you when you can start using SyreniRing.

Side effects

SyreniRing may cause side effects in some people, but these won’t affect everybody. Common side effects may include: 

• Abdominal pain 
• Nausea
• Yeast infection
• Discomfort in the vagina
• Headaches 
• Migraines 
• Low sex drive
• Depressive moods 
• Breast pain
• Pelvic pain
• Painful periods 
• Acne 
• Weight gain

For more information on potential side effects, refer to the patient information leaflet. If you experience any side effects, including any not included in the patient information leaflet, you can report them using the MHRA Yellow Card Scheme.

Serious side effects

Seek emergency medical attention if you notice any signs of a severe allergic reaction, symptoms of which include swelling of the face and throat, skin rash, breathing difficulties and/or loss of consciousness.

Breast cancer has been found more often in women who use hormonal contraceptives; however, this is still very rare. The risk of developing breast cancer is reduced when you stop hormonal contraception.

Liver tumours have been reported in women who use hormonal contraception, but this is rare. You must contact your doctor if you have any unusual severe stomach pain.

In rare cases, a blood clot might form. The risk of a blood clot developing is higher in women who use hormonal contraception in comparison to women who don’t. 

The symptoms of a blood clot include:

• Swelling surrounding the area where the blood clot has formed 
• A change in the colour of your skin, usually reddening of the skin or a blue tinge
• Mild to intense pain in the area where the blood clot has formed
• Warm skin in the area where the blood clot has formed
• Trouble breathing or chest pain 
• Swollen and painful veins

If you notice the symptoms of a blood clot, seek emergency medical attention immediately. 

Warnings

SyreniRing may be unsuitable for certain people. Do not use this product if you are allergic to any of the ingredients or if:

• You have or have ever had a blood clot in your legs or lungs
• You have a disorder that affects your blood clotting e.g. protein C deficiency, protein S deficiency, antithrombin-III, factor V Leiden or antiphospholipid antibodies
• You need an operation, or you will be off your feet for a long time 
• You have ever had a heart attack or stroke 
• You have or have ever had angina pectoris
• You have ever had a transient ischemic attack (TIA)
• You have severe diabetes with blood vessel damage
• You have very high blood pressure
• You have high cholesterol or high triglycerides 
• You have hyperhomocysteinaemia 
• You have or have ever had migraines with aura
• You have or have had pancreatitis 
• You have or have had severe liver disease, and your liver is still not working properly
• You have or have had a benign or malignant tumour of the liver  
• You have or have ever had breast or genital cancer
• You have unexplained vaginal bleeding 

Talk to your doctor or Chemist4U pharmacist before using this product if: 

• A close relative has or has ever had breast cancer
• You have epilepsy 
• You have liver disease
• You have gallbladder disease
• You have Crohn’s disease or ulcerative colitis 
• You have systemic lupus erythematosus (SLE)
• You have haemolytic uraemic syndrome (HUS)
• You have sickle-cell anaemia 
• You have hypertriglyceridaemia
• You have just given birth
• You have inflammation in the veins under the skin
• You have varicose veins
• You have a condition that appeared for the first time or worsened during pregnancy or use of hormones
• You have or have ever had chloasma 
• You have a condition that makes it difficult to use SyreniRing e.g. constipation or prolapse of the uterine cervix

Using/taking other medicines

If you are taking or have recently taken any medication, including medication obtained without a prescription, talk to your GP or pharmacist before using this product.

You must tell your healthcare provider if you are taking the following medication:

• Epilepsy medication e.g. primidone, phenytoin, barbiturates, carbamazepine, oxcarbamazepine, topiramate and felbamate
• Tuberculosis medication e.g. rifampicin 
• HIV medication e.g. ritonavir, nelfinavir, nevirapine and efavirenz
• Hepatitis C medication e.g. boceprevir and telaprivir 
• The herbal remedy St John’s wort 
• Medication for high blood pressure in the blood vessels of the lungs e.g. bosentan 

Age restrictions 

We cannot supply this product from our clinic to anyone under the age of 18.

Pregnancy and breastfeeding

Do not use this product if you are pregnant. If you are breastfeeding, you must speak to your healthcare provider before using this product. If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, you must ask your doctor or Chemist4U pharmacist for advice before using any new product. 

Storage information

Store in a cool, dry place out of sight and reach of children. Do not use after the expiry date, referring to the last day of the month stated on the packaging. 

Important information

Make sure to speak to your doctor or Chemist4U pharmacist before using this product if you have an underlying medical problem or are taking any other medicine or complementary therapy. If your symptoms get worse or continue after using this product, contact us or your doctor. For medical services in your area, please refer to https://www.nhs.uk

If you are pregnant, trying to become pregnant, or breastfeeding, speak to your doctor or Chemist4U pharmacist before using this product. If you suffer from any allergies, ask your doctor or Chemist4U pharmacist if this product is right for you.

Store out of sight and reach of children.

Please read the included leaflet carefully before using this product.

Please contact your GP if appropriate regarding this product.